Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD JOHN DETWEILER IV, DO
ActiveDR. EDWARD JOHN DETWEILER IV, DO is a Family Medicine healthcare provider located in HARTFORD, Connecticut. NPI 1588152789 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HARTFORD, CT
Registration Details
- NPI Number
- 1588152789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2018 (8.3058237951357 yrs)
- Last Updated
- Apr 28, 2023
- Licenses
-
66853 (CT)66853 (CT)
Practice Information
- Address
-
114 WOODLAND STHARTFORD, CT, 061051208Browse CT providers · Browse ZIP 06105
- Phone
- 8607144000
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in HARTFORD, CT
| Name | Credential | NPI |
|---|---|---|
| DR. FONDA GRAVINO | M.D. | 1952396020 |
| DR. STEPHENIE C. THURBER | D. O. | 1144209560 |
| ADAM E PERRIN | MD | 1558337683 |
| ROBERT A CUSHMAN | M.D. | 1053372599 |
| DR. LAUREL E BALDWIN-RAGAVEN | M.D. | 1326000373 |
| DR. ALAN CEMENTINA | MD | 1770547952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.